PVAHCS Analysis Worksheet
WGU D516 PVAHCS Analysis Worksheet (Assignment 1) Study Guide Graded A+ 2025
Instructions:
This worksheet has two parts:
1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action solutions using
IRAC methodology.
2. A series of questions that will target the issues in the Phoenix Veterans Affairs Health Care System (PVAHCS) case most
relevant in the development of a new enterprise risk management (ERM) plan.
Resources:
Use the following resources located in the course to complete this worksheet:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care
System
Enterprise Risk Management: Issues and Cases
Note: This text investigates ERM case studies, both inside the healthcare industry and out. It also explores the key issues f or
implementing ERM strategies.
Impact Assessment Framework
Perform an internet search for the VHA Publications Index (policies = regulations and directives)
Below are examples of directives. After reviewing the website, you may find more directives applicable to this case.
#1604: Data Entry Requirements for Administrative Data
#2011-002: Office of the Medical Inspector Reports
#1231: Outpatient Clinical Practice Management
#1230: Outpatient Scheduling Process and Procedures
#6300: Records Management
#1128: Timely Scheduling of Surgical Procedures in the Operating Room
#2006-041: Veterans Healthcare Service Standards
#1026: VHA Enterprise Framework for Quality, Safety, and Value
Go to the University of Washington Bioethical Principles site by copying and pasting the following link into your
browser: https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/articles/principles-bioethics
Note: The site link above includes the ethical principles found in the C985: Analytical Methods of Health Leaders course.
PVAHCS Analysis Worksheet
,PVAHCS Analysis Worksheet
PVAHCS Analysis Worksheet
, PVAHCS Analysis Worksheet
Part 1. IRAC Table
Formulate an IRAC (issue, rule, application, and conclusion) response for each of the five OIG violations that includes the
following:
• Issue: Summarize the relevant facts for each violation in the OIG report.
• Rule: Discuss the relevant ethical principles and legal or regulatory requirements for each violation.
• Application: Analyze how the violations deviated from the ethical principles and legal or regulatory requirements
discussed.
• Conclusion: Recommend appropriate ERM corrective actions or solutions for each of the violations.
Clinically significant delays in care
The OIG report on the Phoenix VA Health Care System (PVAHCS) confirmed substantial delays in
Summary of relevant providing care, impacting patient outcomes and potentially causing harm. Patients experienced
facts: prolonged wait times for appointments, consultations, and treatments (Huges, 2017).
Discussion and Ethical Principles
analysis of deviation
Patient Autonomy: Patients have the ethical right to timely access to healthcare, and delays infringe
from ethical
upon their autonomy.
principles and legal,
or regulatory Beneficence: Timely care is a fundamental aspect of beneficence, ensuring patients receive the best
requirements or possible healthcare outcomes.
standards:
Non-Maleficence: Delays may lead to worsened patient outcomes, violating the principle of non -
maleficence.
Justice: Fair and equitable access to care is a cornerstone of justice in healthcare.
Ethically, patients have the right to timely access to healthcare services, which aligns with the
principles of patient autonomy, beneficence, non-maleficence, and justice. Legally and ethically,
healthcare facilities are obligated to adhere to established standards for timely care delivery, as
outlined by regulatory bodies and industry guidelines (Veterans Health Administration (VA), 2014).
Legal/Regulatory Requirements
Compliance with VA Standards: The delays deviate from VA and healthcare industry standards for
timely access to care (Veterans Health Administration (VA), 2014).
PVAHCS Analysis Worksheet
WGU D516 PVAHCS Analysis Worksheet (Assignment 1) Study Guide Graded A+ 2025
Instructions:
This worksheet has two parts:
1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action solutions using
IRAC methodology.
2. A series of questions that will target the issues in the Phoenix Veterans Affairs Health Care System (PVAHCS) case most
relevant in the development of a new enterprise risk management (ERM) plan.
Resources:
Use the following resources located in the course to complete this worksheet:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care
System
Enterprise Risk Management: Issues and Cases
Note: This text investigates ERM case studies, both inside the healthcare industry and out. It also explores the key issues f or
implementing ERM strategies.
Impact Assessment Framework
Perform an internet search for the VHA Publications Index (policies = regulations and directives)
Below are examples of directives. After reviewing the website, you may find more directives applicable to this case.
#1604: Data Entry Requirements for Administrative Data
#2011-002: Office of the Medical Inspector Reports
#1231: Outpatient Clinical Practice Management
#1230: Outpatient Scheduling Process and Procedures
#6300: Records Management
#1128: Timely Scheduling of Surgical Procedures in the Operating Room
#2006-041: Veterans Healthcare Service Standards
#1026: VHA Enterprise Framework for Quality, Safety, and Value
Go to the University of Washington Bioethical Principles site by copying and pasting the following link into your
browser: https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/articles/principles-bioethics
Note: The site link above includes the ethical principles found in the C985: Analytical Methods of Health Leaders course.
PVAHCS Analysis Worksheet
,PVAHCS Analysis Worksheet
PVAHCS Analysis Worksheet
, PVAHCS Analysis Worksheet
Part 1. IRAC Table
Formulate an IRAC (issue, rule, application, and conclusion) response for each of the five OIG violations that includes the
following:
• Issue: Summarize the relevant facts for each violation in the OIG report.
• Rule: Discuss the relevant ethical principles and legal or regulatory requirements for each violation.
• Application: Analyze how the violations deviated from the ethical principles and legal or regulatory requirements
discussed.
• Conclusion: Recommend appropriate ERM corrective actions or solutions for each of the violations.
Clinically significant delays in care
The OIG report on the Phoenix VA Health Care System (PVAHCS) confirmed substantial delays in
Summary of relevant providing care, impacting patient outcomes and potentially causing harm. Patients experienced
facts: prolonged wait times for appointments, consultations, and treatments (Huges, 2017).
Discussion and Ethical Principles
analysis of deviation
Patient Autonomy: Patients have the ethical right to timely access to healthcare, and delays infringe
from ethical
upon their autonomy.
principles and legal,
or regulatory Beneficence: Timely care is a fundamental aspect of beneficence, ensuring patients receive the best
requirements or possible healthcare outcomes.
standards:
Non-Maleficence: Delays may lead to worsened patient outcomes, violating the principle of non -
maleficence.
Justice: Fair and equitable access to care is a cornerstone of justice in healthcare.
Ethically, patients have the right to timely access to healthcare services, which aligns with the
principles of patient autonomy, beneficence, non-maleficence, and justice. Legally and ethically,
healthcare facilities are obligated to adhere to established standards for timely care delivery, as
outlined by regulatory bodies and industry guidelines (Veterans Health Administration (VA), 2014).
Legal/Regulatory Requirements
Compliance with VA Standards: The delays deviate from VA and healthcare industry standards for
timely access to care (Veterans Health Administration (VA), 2014).
PVAHCS Analysis Worksheet
